FLAGSTAFF UNIFIED SCHOOL DISTRICT NO. 1 Purchasing Department 5400 E. Railhead Ave. Flagstaff, AZ 86004 Ph: Fax: 928-527-2325 928-527-2340 VENDOR REGISTRATION FORM Business Information: Name: _______________________________________________________________ Mailing Address: _______________________________________________________ Street Address: ________________________________________________________ City: ___________________________ State: _______ Zip: ________________ Telephone Number: _____________________________________________________ Fax Number: __________________________________________________________ Remittance Address (if different): City: ___________________________ *Sales Tax Rate: _________________ State: _______ Zip: ________________ Federal Tax ID #: _________________ Contact Information: Sales Rep Name: ______________________________________________________ Telephone Number: _______________________________________________ Customer Service Rep Name: _________________________________________ Telephone Number: _______________________________________________ *FUSD is a non-tax exempt agency (expect for City of Flagstaff tax rate – until 7/1/01). If your company is out-of-state, and does not charge for taxes, the District will pay a 5% Use Tax directly to the Arizona State Department of Revenue. FOR SCHOOL DISTRICT USE ONLY: Assigned Vendor Code: _________________________________________________ Entered on Vendor Database: ____________________________________________ Our company would like to receive Request for Bid/Proposal packages for the following product/service categories: (Check all applicable categories.) ------------------------------------------------------------------------------------------------------------------------------------_____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ ACCOUNTING SERVICES (ACC) ADVERTISING (ADV) AIR CLEANING SYSTEMS (AIR) AIR CONDITIONING/HEATING (AC) ALARM SYSTEMS/FIRE ALARMS (ALA) ALUMINUM BENCHES/STAGES (ALU) APPLIANCES (APL) ARCHITECTURAL SERVICES ( ARC) ART EQUIPMENT (ART) ART SUPPLIES (WAR) ASBESTOS CONSULTING (ACN) ASBESTOS REMOVAL (ASB) ATHLETIC EQUIPMENT (ATH) ATHLETIC FIELD/FLOOR COVERS (AFC) ATHLETIC FIELD MARKING(AFM) ATHLETIC HELMET DECALS (AHD) ATHLETIC SUPPLIES (WAE) ATHLETIC TRAINING SUPPLIES (TRN) AUDIO VISUAL EQUIPMENT (AV) AUDITING SERVICES (AUD) BACKBOARDS (BCB) BANKING SERVICES (BAN) BLEACHERS (BLC) BOILERS/REPAIR (BLR) BOND COUNSEL/ARBITRAGE (BNC) BONDING (BND) BOOK BINDING/REBINDING (BRB) BUSES (BUS) CAD/TECHNOLOGY EQUIPMENT (CAD) CAFETERIA EQUIPMENT (CAF) CAMERA/PHOTOGRAPHY EQUIPMENT (CAM) CAMPING EQUIPMENT (CAMP) CAR WASH (CRW) CARPET (CRP) CARPET CLEANING (CCL) CATERING (CAT) CHEMICALS (CHM) CHILD CARE (CHI) CLASSROOM AIDS (CLA) CLASSROOM EQUIPMENT (CLS) COMMUNICATION EQUIPMENT (CMN) COMPUTER CLEANING (COL) COMPUTER CONSULTING (CMC) COMPUTER FURNITURE (FRNC) COMPUTER HARDWARE (COM) COMPUTER SOFTWARE (SFT) COMPUTER SUPPLIES (CSU) COMPUTER SUPPORT SERVICES (CMS) CONSTRUCTION (CON) CONSTRUCTION CONSULTING (CRN) CONSTRUCTION MANAGEMENT (CMG) COPIER SERVICE/MAINTENANCE (CSM) COPIERS (CPR) COPY PAPER (WPP) COST CONTROL CONSULTING (CCN) CREDIT PROGRAMS (CRE) CUSTODIAL EQUIPMENT (CUS) CUSTODIAL/MAINTENANCE MGMT (CMM) CUSTODIAL SUPPLIES (WCU) _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ DATA ENTRY (DAT) DENTAL INSURANCE (IND) DIPLOMAS (DIP) DRAPERIES/WINDOW COVERINGS (DRP) DRIVER EDUCATION EQUIPMENT (DRV) DRUG SCREENING/TESTING (DRU) DRY CLEANING/LAUNDRY SERVICES (DRY) EDUCATIONAL SERVICES/GRANTS (EDU) ELECTRICAL SUPPLIES/CONTRACTING (ELT) ELEVATORS/MAINTENANCE (ELV) EMPLOYEE BENEFITS (EMP) ENERGY MANAGEMENT SYSTEMS (EMS) ENGINEER/ENVIRO CONSULTING (ECN) ENGINEERING SERVICES (EGR) ENGRAVING (ENG) EXIT SIGNS (EXT) FACILITIES & OPERATIONS MGMT (FOM) FENCING (FEN) FERTILIZER (FER) FIBER OPTICS/CABLING (FIB) FILM/VIDEO PRODUCTION (FIL) FINANCIAL CONSULTING (FNC) FIRE EXTINGUISHERS (FIR) FLOOR FINISHING (FIN) FLOORING CONTRACTORS (FLR) FLUIDS, AUTO (FLU) FOOD SERVICE/FOOD SUPPLIES (FDS) FORMS (FRM) FREIGHT CARRIER (FRT) FUEL (FUL) FURNITURE (FRN) GARAGE MATERIALS (GAR) GLASS SERVICE (GLS) GRANTS (GRA) HAZARDOUS WASTE REMOVAL (HAZ) HEALTH INSURANCE (INH) HEALTH SUPPLIES (WHT) HELMET RECONDITIONING (HRC) HOME ECONOMICS EQUIPMENT (HEC) HOME ECONOMICS SUPPLIES (WHE) HOUSE PROJECT MATERIALS (HPM) HUMAN RESOURCE SERVICES (HUM) INDUSTRIAL HYGIENE (HYG) INFORMATION PROCESSING/FICHE (MIC) INSTRUCTIONAL AIDS (INS) INSULATORS (INT) INSURANCE CONSULTING (INC) INTERCOMS (IRM) INVESTMENT SERVICES (INV) JANITORIAL SERVICES (JNT) LAB FURNITURE (LAB) LAMINATORS & FILM (LAM) LAND SURVEYS (SUR) LANDSCAPING (LND) LAUNDRY SUPPLIES (LDY) LAUNDRY SYSTEMS (LAU) LEASE FINANCING (LSE) LEGAL COUNSEL (LAW) LIABILITY INSURANCE (INL) _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ LIBRARY BOOKS (LBK) LIGHTING (LGT) LOCKERS (LCK) LOCKS & HARDWARE (LHD) LONG DISTANCE SERVICE (LDS) LUMBER (LMB) MAIL HANDLING/EQUIPMENT (MAL) MAINTENANCE EQUIPMENT (MNT) MANAGED HEALTH CARE PROGRAMS (HEA) MANAGEMENT CONSULTING (MGC) MAPS & GLOBES (MAP) MEDIA/PERIODICALS/MAGAZINES (MED) MEDIATION & ARBITRATION (ARB) MEDICAL INSURANCE (INM) MICROSCOPE CLEANING/REPAIR (MCL) MOVING SERVICES (MOV) MUSIC EQUIPMENT (MUS) MUSIC SUPPLIES (WMS) MUSICAL INSTRUMENT REPAIR (MUR) NETWORK DESIGN (NWD) NETWORKING/FIBER OPTICS (NET) NURSING EQUIPMENT (NRS) OFFICE EQUIPMENT (OFF) OFFICE SUPPLIES (OFFS) OT/PT SERVICES (OTPT) OUTDOOR FURNITURE & EQUIPMENT (OUT) PAGERS/PAGING SERVICES (PAG) PAINT (PNT) PAINTING (PNG) PAPER & GENERAL SUPPLIES (WPG) PAVING (PAV) PEST CONTROL (PST) PHYSICALS (PHY) PIANO TUNING (PTU) PLANTS (PLA) PLASTICS (PLS) PLAYGROUND EQUIPMENT (PLY) PLUMBING SUPPLIES/CONTRACTING (PLM) POOL REPAIR (POL) PORTABLE CLASSROOMS (PCL) POSTAGE (POS) PRE FAB BUILDINGS (PFB) PRINTING (PRI) PRINTING SUPPLIES (PRT) PROMOTIONAL ITEMS (PRO) PROPERTY INSURANCE (INP) PUBLIC ADDRESS SYSTEMS (PAS) PUBLISHING (PUB) RADIOS (RAD) RECYCLING CONTAINERS (REC) RISK INSURANCE (INR) ROOFING (ROF) SCHOOL PHOTOS (PHT) SCIENCE EQUIPMENT (SCI) SCOREBOARDS (SBD) SECURITY GUARD SERVICES (SEC) SHOP EQUIPMENT (SHP) SHOP SUPPLIES (WSH) SIGNAGE/DISPLAYS (SGN) SOD/TURF (SOD) SOIL TESTING (SOL) SPECIAL EDUCATION EQUIPMENT (SPD) STAGE EQUIPMENT (STQ) STORAGE EQUIPMENT (STG) _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ STUDENT ACCIDENT INSURANCE (INA) SURPLUS BUYERS (SRP) TEACHER’S SUPPLIES (TSU) TELECOMMUNICATIONS (TEL) TEMPORARY EMPLOYEE SERVICES (TEM) TEST SCORING MACHINES (TSM) TEXTBOOKS (TEX) TIRES & RECAPS (TIR) TONER CARTRIDGE RECHARGING (TON) TOWELS (TOW) TRACK RESURFACING (TRK) TRANSPORTATION EQUIPMENT (TRP) TRANSPORTATION SERVICES (TRA) TRANSPORTATION SUPPLIES/FILTERS (TRF) TRUCKING/HAULING (TRU) UNDERGROUND STORAGE TANKS (UST) UNEMPLOYMENT INSURANCE (INU) UNIFORMS, ATHETLIC (UNI) UNIFORMS, BAND (UNB) UNIFORMS, MAINTENANCE (UNM) UNIFORMS, OTHER (UNO) UNIFORMS, SPIRIT (UNC) UPHOLSTERY REPAIR (UPR) VEHICLE LEASE (VHL) VEHICLE REPAIR (VRP) VEHICLES (VEH) WAREHOUSE SUPPLIES (WHS) WASTE MANAGEMENT SERVICES (WMG) WATER TESTING (WAT) WELDING GAS & BOTTLES (GASW) WORKER'S COMP INSURANCE (INW) _____ OTHER: _____ OTHER: _____ OTHER: _____ OTHER: